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1225601560
GREATER TAMPA BAY PHYSICIAN SPECIALISTS, LLC
BRADENTON, FL
NPI
1225601560
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Entity Type
Organization
Authorized Contact
WILLIAM TEDRICK JOHNSON
Vice President
615-372-3375
Organization Subpart ?
Yes
Primary Taxonomy
2086S0129X Surgery, Vascular Surgery
Enumeration Date
2021-07-23
Last Update Date
2021-07-23
Business Address
GREATER TAMPA BAY PHYSICIAN SPECIALISTS, LLC
2010 59TH ST W STE 1500
BRADENTON, FL 34209-4649
Phone number: 941-896-4788
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Mailing Address
GREATER TAMPA BAY PHYSICIAN SPECIALISTS, LLC
2000 HEALTH PARK DR
BRENTWOOD, TN 37027-4692
Phone number: 615-372-5426
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